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Contact Information

ELLEN BOLOTIN, MD
1500 E DUARTE RD
DUARTE, CA91010
 Phone: 626-359-8111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ELLEN BOLOTIN · (Female)

NPI Number 1730289471
Status Active
Credentials MD
Entity Individual
Enumeration date 09/23/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A54526
  • CA Medicaid 00A545260
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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